Organization
WANSOM MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHATE WANSOM M.D. (PRESIDENT)
(734) 242-3060
Entity
Organization
Contact information
Practice address
1492 N MONROE ST, MONROE, MI 48162-4210
(734) 242-3060
(734) 242-3062
Mailing address
1492 N MONROE ST, MONROE, MI 48162-4210
(734) 242-3060
(734) 242-3062
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301038906
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0580012
BCBS
MI
05
—
1395936
—
MI
Enumeration date
07/22/2008
Last updated
07/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us